Individual provider Active NPI

Mark J Dilella, DO

  • Orthopaedic Surgery Physician
  • Greenwood, IN
National Provider Identifier
1053363002
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
02001725 Issued in IN
Practice address
1260 Innovation Pkwy #100
Greenwood, IN 46143-3602
Phone
(317) 884-5200
Fax
(317) 884-5360
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 02001725A IN
Orthopaedic Surgery Physician 207X00000X 02001725 IN Primary

Addresses

Primary practice location

1260 Innovation Pkwy #100
Greenwood, IN 46143-3602

Mailing address

8450 Northwest Blvd.
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Other identifiers 1

IdentifierTypeStateIssuer
200081810MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.dilella.1@29985.direct.athenahealth.com Orthopaedics-Indianapolis, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000703 IN Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1557485190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Practice addresses (Care Compare)

1260 Innovation Pkwy
Suite 100
Greenwood, IN 46143-3602
Phone (317) 884-5200

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.84 of 100Reported as group
Quality
52.64
Promoting interoperability
88
Improvement activities
40
Cost
73.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02001725AINMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery Current Accepting new patients
Orthopaedics-Indianapolis, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2002 Accepting new patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery CurrentSince Jul 1, 2002 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1260 Innovation Pkwy
Ste 100
Greenwood, IN 46143
Phone (317) 884-5200

5255 E Stop 11 Rd
Ste 300
Indianapolis, IN 46237
Phone (317) 528-4723

8450 Northwest Blvd
Indianapolis, IN 46278

Interoperability endpoints

  • Direct secure messaging: markdilella@oi.allscriptsdirect.net
  • Direct secure messaging: mark.dilella.1@29985.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1053363002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 INNOVATION PKWY #100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433602",
            "telephone_number": "317-884-5200",
            "fax_number": "317-884-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILELLA",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "02001725A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02001725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200081810",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.dilella.1@29985.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena address",
            "affiliationName": "Orthopaedics-Indianapolis, Inc",
            "address_1": "1260 Innovation Pkwy #100",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461433602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.